OrganizationActive
Liberty House
NPI 1639244056 · Pediatrics Physician · Salem, OR
Provider details
- NPI number
- 1639244056
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alison Kelley, Ceo(503) 540-0288
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2685 4th St Ne
Salem, OR 97301-6548
Phone: (503) 540-0288
Fax: (503) 540-0293
Street-level locationGet directions
Mailing address
2685 4th St Ne
Salem, OR 97301-6548
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2023-10-27
- Certified
- 2023-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.